Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sylvia Ellis (NPI 1154705911)

Field	Value
Entity Type	Individual
Organization	Sylvia Ellis
Address	90 Southside Ave
City	Asheville
State	NC
ZIP	28801
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	July 11, 2015

Payer Source	Total Paid
Medicare	$114.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	840	$100	$82.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	240	$70	$16.4K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	140	$80	$11.9K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	130	$20	$2.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	30	$50	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Sylvia Ellis — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	466	900	260	$70	$31.2K
99308	631	740	130	$50	$13.5K
99310	5	470	50	$100	$10.5K
99316	9	270	30	$90	$3.9K
G0317	14	40	90	$20	$3.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sylvia Ellis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inpatient Consultants Of North Carolina, PC	NC	Internal Medicine Physician	$0	$12.1M
Curana Health Of South Carolina PC	SC	Internal Medicine Physician	$0	$6.4M
Jamison Feramisco	CA	Internal Medicine Physician	$6.1M	$0
Jonathan Macon	SC	Internal Medicine Physician	$911.1K	$0
Patrick O'brien	NC	Physical Medicine & Rehabilitation Physician	$910.2K	$0
Hillary Drozd	TX	Family Nurse Practitioner	$900.5K	$0
Victor Aguin Melendez	SC	Internal Medicine Physician	$634.6K	$0
William Morton	GA	Internal Medicine Physician	$479.3K	$0
Kenneth Santiago	SC	Internal Medicine Physician	$467.1K	$0
Vlastimil Smetka	SC	Family Medicine Physician	$457.3K	$0

Nearby Providers

Other providers in the same ZIP code as Sylvia Ellis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rha Health Services Nc, LLC	NC	Developmentally Disabled Services Day Training Agency	$0	$117.3M
Mh Mission Hospital, Lllp	NC	General Acute Care Hospital	$0	$62.2M
Rha Health Services, Inc.	NC	Community/Behavioral Health Agency	$0	$30.1M
Daymark Recovery Services Inc	NC	Community/Behavioral Health Agency	$0	$17.5M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$16.4M
Rha Behavioral Health Nc LLC	NC	Community/Behavioral Health Agency	$0	$12.6M
Leslie Wessinger	NC	General Practice Dentistry	$0	$9M
F.i.r.s.t.	NC	Community/Behavioral Health Agency	$0	$8.7M
Coram Alternate Site Services, Inc.	NC	Home Infusion Agency	$0	$8.2M
Keystone Laboratories, Inc.	NC	Clinical Medical Laboratory	$435.4K	$4.1M

Sylvia Ellis — Billing Profile & Reimbursement Data

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Sylvia Ellis — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References